Goal Oriented Treatment Planning with Corticotomy Facilitated Orthodontics

Conventional orthodontic tooth movement is restrained by the presence or absence of the surrounding alveolar bone. Combining orthodontics with selective alveolar decortication and bone augmentation increases the thickness of the alveolar trough, allowing for a wider range of tooth movements. Indications for applying this combined technique are derived from goal-oriented treatment planning, specific orthodontic biomechanics and sequencing. Case selection, proposed direction and amount of tooth movement, and treatment timing must be considered in order to achieve the most favorable outcomes with this combined surgical-orthodontic technique.

Learning Objectives:

• Recognize how alveolar decortication and bone grafting combined with orthodontics allows for a wider range of tooth movements.
• Illustrate creative ways to design orthodontic biomechanics.
• Coordinate treatment timing and sequencing when utilizing this interdisciplinary treatment plan.